Lecture 11: Hip Joint Flashcards

1
Q

Compare/contrast the hip joint with the glenohumoral joint

A

Both are ball-and-socket joints, but the hip joint is more stable

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2
Q

The articulation of the hip joint is covered with what type of cartilage?

A

Hyaline

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3
Q

The head of the femur articulates in what cup-shaped structure of the hip joint?

A

Acetabulum

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4
Q

What is the articular surface of the acetabulum?

A

Acetabular notch

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5
Q

What part of the acetabulum is filled with fat?

A

Acetabular fossa

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6
Q

What part of the hip joint articulation accomodates more than half the head of the femur?

A

Fibrocartilaginous labrum (deepens the joint socket by 10%)

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7
Q

What component of the hip joint articulation is attached to the bony brim of the acetabulum and the neck of the femur?

A

Joint capsule

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8
Q

Anteriorly, the hip joint capsule is attached to the base of the entire neck of the ______

A

Femur

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9
Q

Posteriorly, the hip joint capsule has a line of attachment across the ______ neck of the femur

A

Middle

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10
Q

The synovial membrane of the hip joint covers:

The ___________ neck of femur

_____ side of the capsule

Labrum

______ of head of femur

Fat pad of ________ fossa

A

Intracapsular

Inner

Ligament

Acetabular

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11
Q

What are the 3 bones that make up os coxae?

A

Ilium
Ischium
Pubis

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12
Q

Flexion of the hip is very extensive, but limited by overstretched ________ muscles in extension

A

Hamstring

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13
Q

What are the 4 hip flexor muscles?

A

Iliopsoas m.
Rectus femoris m.
Sartorius m.
Tensor fascia lata m.

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14
Q

What are the 2 hip extensor muscles?

A

Gluteus maximus m.

Hamstring m.

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15
Q

What are the 3 hip abductors?

A

Gluteus medius m.
Gluteus minimis m.
Tensor fascia lata m.

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16
Q

What are the 5 hip adductor muscles?

A
Adductor longus
Adductor brevis
Adductor magnus
Pectineus
Gracilis
17
Q

What are the medial rotators of the hip?

A
Tensor fascia lata
Gluteus minimis
Gluteus medius (anterior fibers)
Pectineus
Adductor longus
Adductor brevis
Adductor magnus
18
Q

What are the lateral rotators of the hip?

A
Obturator internus
Obturator externus
Gemelli (sup/inf)
Quadratus femoris
Piriformis
Gluteus maximus
Sartorius
19
Q

What are the 2 internal ligaments of the hip joint?

A

Transverse acetabular ligament

Ligament of head of femur

20
Q

Which internal ligament of the hip spans the acetabular notch?

A

Transverse acetabular ligament

21
Q

Which internal ligament of the hip joint contains an artery to the head of the femur and is covered by synovial membrane?

A

Ligament of head of femur

22
Q

What are the external ligaments of the hip joint?

A

Iliofemoral ligament
Ischiofemoral ligament
Pubofemoral ligament

23
Q

What is the most important of the femoral ligaments?

A

Iliofemoral ligament - it is one of the strongest ligaments in the body

It screws the femoral head into the acetabulum when standing, and prevents hyperextension

24
Q

The iliofemoral ligament is located _______ and ________

Anterior/posterior vs. superior/inferior

A

Anteriorly; superiorly

25
Which external ligament of the hip joint is located anteriorly and inferiorly and blends with the medial iliofemoral ligament?
Pubofemoral ligament
26
What is the primary function of the pubofemoral ligament?
Tightens during extension and abduction of the thigh, prevents overabduction
27
What external ligament of the hip joint is located posteriorly and spirals superolaterally to the femoral neck?
Ischiofemoral ligament
28
What nerves provide sensation in the hip joint?
Sensory branches of: Gluteal n. Obturator n. Femoral n.
29
What group of blood vessels provides the arterial supply to the hip joint?
Cruciate anastomosis
30
What arteries are included in the cruciate anastomosis?
``` Medial femoral circumflex a. Lateral femoral circumflex a. Inferior gluteal a. First perforating artery of profunda femoris a. Obturator a. ```